| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.37 | $29.78 | $29.78 |
Aetna
| Professional | $101.56 | $101.56 | $140.02 | |
Aetna
| Professional | 26 | $19.39 | $21.07 | $22.32 |
Cigna
| Professional | $91.05 | $119.42 | $245.98 | |
Cigna
| Professional | 26 | $16.22 | $25.40 | $41.04 |
United
| Professional | $89.47 | $129.94 | $286.36 | |
United
| Professional | 26 | $18.87 | $27.51 | $54.42 |